Comprehensive Osteopathic Medical Licensing Examination (COMLEX USA) Practice

In terms of osteopathic manipulative treatment, how is the cranial technique categorized?

1. Direct

2. Indirect

3. Both

4. Neither

The correct answer is: Indirect

The cranial technique within osteopathic manipulative treatment is primarily categorized as indirect. This approach involves the osteopathic practitioner using gentle, non-invasive techniques to facilitate the body's inherent self-corrective mechanisms. In indirect techniques, the focus is on easing restrictions and tension in the cranial bones and sutures by moving them away from the barriers of restriction, ultimately allowing the body to resume its natural motion and balance. This methodology contrasts with direct techniques, which typically involve engaging the restrictive barrier directly and applying force to correct the dysfunction. In cranial osteopathy, practitioners aim to enhance the cranial rhythmic motion by promoting relaxation and allowing the body to self-adjust rather than directly manipulating the structures against resistance. While cranial techniques are primarily indirect in nature, some practitioners may incorporate elements of direct techniques in their treatment approach. Nevertheless, the predominant categorization remains indirect due to the nature of manipulation involved.